Organization Active NPI

Rehabilitation Specialists Top of Troy PC

  • Physical Therapist
  • Troy, MI
National Provider Identifier
1871709691
Registry record updated Apr 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501001690 Issued in MI
Legal business name
REHABILITATION SPECIALISTS TOP OF TROY PC
Practice address
5600 Crooks Rd
Suite 104
Troy, MI 48098-2811
Phone
(248) 989-9422
Fax
(248) 989-9424
NPI assigned
May 16, 2007
Last updated
Apr 15, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ronald Brickey
Title
PT
Phone
(248) 989-9422

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5501001690 MI Primary

Addresses

Primary practice location

5600 Crooks Rd
Suite 104
Troy, MI 48098-2811

Mailing address

1037 Water St
Suite 2
Port Huron, MI 48060-4408
Phone (810) 982-9541

Other identifiers 4

IdentifierTypeStateIssuer
5501001690OtherMILICENSE
650F328150OtherMIBCBSM
650F357670OtherMIBCBSM
0G41257OtherMIBCBSM

National Provider Directory

National Provider Directory

Locations

1037 Water St
Ste 2
Port Huron, MI 48060
Phone (810) 982-9541

5600 Crooks Rd
Ste 104
Troy, MI 48098
Phone (248) 989-9422

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302825600000",
    "number": "1871709691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1037 WATER ST",
            "address_2": "SUITE 2",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480604408",
            "telephone_number": "810-982-9541",
            "fax_number": "810-982-5349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5600 CROOKS RD",
            "address_2": "SUITE 104",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480982811",
            "telephone_number": "248-989-9422",
            "fax_number": "248-989-9424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHABILITATION SPECIALISTS TOP OF TROY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2011-04-15",
        "status": "A",
        "authorized_official_last_name": "BRICKEY",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "PT",
        "authorized_official_telephone_number": "248-989-9422"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501001690",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "5501001690",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "650F328150",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "650F357670",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "0G41257",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.